【Purpose】The purpose of this study was to clarify implementations of fall prevention self-care behaviors in community-dwelling older adults, classify fall prevention self-care behaviors, and analyze associated factors. ber in 2018, 6,009 patients who were admitted to our hospital（acute general ward）, excluding inpatients with completely bedridden patients were included. The data were from Form 1 and H files, which are part of the DPC （Diagnosis Procedure Combination）. Fall assessment data were used to assess the risk of falling. Albumin and hemoglobin levels at admission were used to assess nutritional status and anemia. Logistic regression analysis was used for statistical analysis. The necessity of oral care was used as an exposure factor, and age, gender, nutritional status, anemia, ADL on admission, and clinical severity were successively entered as covariates for explanatory variables.

【Methods】TA self-administered questionnaire and physical ability measurements were conducted on elderly people belonging to a senior club in City A during the period from April to July 2022. Results：A total of 208 subjects（mean age 79.1 ± 5.8 years）were included in the study. Fall prevention self care behaviors were classified into two categories：self-care behaviors to improve physical function and self-care behaviors for safety during mobility. The factor most strongly correlated with the total score of fall prevention self-care behavior was health care self-efficacy（β= 0.451）, followed by grip strength（β= −0.185）and fall prevention self-efficacy（β= −0.149）, factors associated with the total score for“self-care behaviors to improve physical functioning” were health care self-efficacy（β= 0.439）, grip strength（β= −0.179）, and standing balance（β= 0.180）, factors associated with the total score for“self-care behavior for safety during mobility”were fall prevention self-efficacy（β= −0.339）, health care self-efficacy（β= 0.301）, and fall risk（β= 0.159）.

【Conclusions】 Fall prevention self-care behaviors were classified into two types：self-care behaviors to improve physical function and self-care behaviors for safety during mobility. Fall prevention self-care behaviors were shown to be related to health care self-efficacy, grip strength, and fall prevention self-efficacy.

【Purpose】Falls have been reported to be associated with age-related decline in physical, walking, cognitive, mental, and psychological functions, living environment, and socio-economic factors. In this study, we investigated the association between falls and physical and cognitive function in older adults in a private nursing home, whose living environment and socio-economic factors, were almost homogeneous.

【Methods】Thirty-five older adults（Six experienced a fall, 17.1%；twenty-nine without experienced a fall；82.9%） in a private nursing home were included in the study. Falls within the past year and physical（grip strength, finger tapping, and lower extremity muscle strength）, gait, cognitive（overall cognitive, sensory, and balance functions）were assessed.

【Results】The results of an unpaired t-test and Mann-Whitney’s U-test with falls as the independent variable showed significantly less lower limb muscle strength, postural sway（anterior-posterior direction and sway area）in the group with a fall than in the group without a fall. No significant differences were found in other items.

【Conclusions】 Functions associated with falls in older adults in a residential private nursing home included that lower extremity muscle weakness and decreased balance function.